Organization
L & E FIRST ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA WARD CPC (BILLING MANAGER)
(972) 562-2595
Entity
Organization
Contact information
Practice address
7228 WILD VALLEY DR, DALLAS, TX 75231-8154
(972) 816-4982
(214) 348-2708
Mailing address
7228 WILD VALLEY DR, DALLAS, TX 75231-8154
(972) 816-4982
(214) 348-2708
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050JR
BLUE CROSS BLUE SHIELD GR
TX
Enumeration date
04/16/2008
Last updated
04/16/2008
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